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Neuroprosthetic device for functional training, compensation or rehabilitation of lower limbs during gait

机译:用于在步态期间的功能训练,下肢补偿或康复的神经高原装置

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摘要

One of the most promising alternatives to train, compensate or rehabilitate patients after cerebrovascular accidents, spinal cord injuries, head trauma and physiological pathological tremors causing gait disorders are the motor neuroprosthestic devices (NP). However, there are not portable and flexible NP devices capable of fulfilling the requirements of different rehabilitation scenarios. In this work, the novel and flexible H-GAIT NP for lower limbs training and compensation is presented. This NP is able to detect four subphases of gait cycle and provide configurable surface stimulation patterns at each subphase. The H-GAIT NP can stimulate 4 independent channels for each subphase, allowing to reproduce diverse muscle activation patterns that can be needed in different rehabilitation scenarios. In order to validate the concept, several tests were carried on with 5 neuromuscularly intact participants and three different gait speeds in order to validate detection of the subphases. The algorithm showed an acceptable performance (over 95% of gait subphases successfully detected in all cases at three different gait speeds (0.7, 0.85, and 0.97 m/s). The results were consistent among participants. To show the potential use of the NP in different rehabilitation scenarios, one stimulation profile was configured for hemiplegic gait compensation.
机译:训练,补偿或恢复脑卒中后患者的最有前途的替代品之一,脊髓损伤,头部创伤和生理病理震颤导致步态障碍是运动神经高调装置(NP)。但是,没有能够满足不同康复场景的要求的便携式和灵活的NP设备。在这项工作中,提出了用于较低肢体训练和补偿的新型和灵活的H-Gait NP。该NP能够检测四个步态循环的四个子晶,并在每个子平面上提供可配置的表面刺激图案。 H-Gait NP可以刺激每个子相的4个独立通道,允许在不同的康复场景中再现可能需要的不同肌肉激活模式。为了验证该概念,有几次测试用5个神经肌肉完整的参与者和三种不同的步态速度进行,以验证对子手册的检测。该算法表现出可接受的性能(在所有情况下,在所有情况下成功检测到了超过95%的步态副出现,以三种不同的步态速度(0.7,0.85和0.97米)。参与者之间的结果一致。展示了NP的潜在使用在不同的康复场景中,配置一个刺激曲线以用于偏瘫步态赔偿。

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